LAPORAN SUPERVISOR 22 FeB 2017

RSUD KOTA

1. Jumlah Pasien Dirawat

: ...104.............................................................. orang
2. Jumlah Pasien Baru Yang Dirawat
: .....8............................................................ orang
3. Jumlah Pasien DHF
a. Dewasa
: ..1............................................................. orang
b. Anak : .....-...........................................................
. orang
4. Jumlah Pasien Pulang
: ..3............................................................... orang
5. Jumlah Pasien Pulang Atas Permintaan Sendiri
: ....-............................................................. orang
Alasan
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6. Jumlah Pasien Yang Dirujuk
: ................................................................. orang
.....................................................................................................................................
.....................................................................................................................................
.....................................................................................................................................
...........................................................................................
7. Jumlah Pasien Meninggal
: ................................................................. orang

N Nama Pasien Ruangan Diagnosa

o
1 NY. Junariah, IGD Syok Cardiogenik
2
3
4

8. Jumlah Tempat Tidur Kosong Yang Rawat Inap

: ......92........................................................... TT
9. Penggunaan Ambulance RSUD
: ........-......................................................... Kali
Tujuan
.....................................................................................................................................
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10.Hambatan Dalam Pelaksanaan -
.....................................................................................................................................
.....................................................................................................................................
.....................................................................................................................................
..........................................................................................
11.Kejadian Khusus -
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Mengetahui
Ka. Bidang Pelayanan Medik dan
Keperawatan
Tangerang, ......22-
2-............................. 2017
Perawat Supervisor

Nama Lengkap
NIP

( ........................................................
..... )
 LAPORAN SUPERVISOR RAWAT INAP
RSUD KOTA

Hari, tanggal : .....22-2-2017..........................................

JUMLA
PASIE BOR
JUMLAH TT JUMLAH JUMLAH JUMLAH H
N PER
PASIE JUMLAH TENAGA YANG
N AKHI HAR
RUANG N DIRUJU
O NON DINAS PAGI DINAS SORE DINAS MALAM
ISOLAS R I
AWAL K
ISOLAS
I PP PAP PM P PAP PP P PAP D
I PM PD PP PM PPD PP PML PM PP PML DP DM
D S L D S D D S S
1 ICU 4 0 4 1 3
2 HCU 6 0 2 1 3 5 5
3 PICU 2 1 1 1 1 1
4 NICU 2 0 2 2 2 2
Perina
5 3 0 6 6 2 2
Sakit
Perina
6 20 0 5 5 2 2
Sehat
7 VK 9 1 0 1 1 2 3 3
8 Nifas 25 1 5 5 20 2 2
9 Interna 1 25 1 15 1 16 64 3 3
10 Interna 2 25 1 13 1 14 56 3 3
11 Bedah 25 1 17 1 3 15 60 3 3
12 Anak 25 1 11 1 1 13 52 3 3
13 Campuran 25 1 17 1 1 19 76 3 3
53
TOTAL 196 8 4 1 1 3 4 2 1 104
%

KETERANGAN:
- PM : Pasien Masuk - PP : Pasien Pulang BOR = Jumlah TT Terpakai x 100%
- PPD : Pasien Pindahan - PAPS : Pasien Pulang Atas Permintaan Sendiri Jumlah TT yang tersedia
- PD : Pasien Dipindahkan - PML : Pasien Meninggal